Mental health and the built environment: cross-sectional survey of individual and contextual risk factors for depression

TY - JOUR

T1 - Mental health and the built environment: cross-sectional survey of individual and contextual risk factors for depression

AU - Weich, S

AU - Blanchard, M

AU - Prince, M

AU - Burton, E

AU - Erens, B

AU - Sproston, K

PY - 2002

Y1 - 2002

N2 - Background Little is known about the effects of the physical environment on individual health. Aims The present study tested the hypothesis that the prevalence of depression is associated with independently rated measures of the built environment, after adjusting for individuals' socio-economic status and the internal characteristics of their dwellings. Method Cross-sectional survey of 1887 individuals aged 16 years and over in two electoral wards in north London. Depression was ascertained using the Center for Epidemiologic Studies Depression scale (CES-D). The built environment was rated independently, using a validated measure. Results After adjusting for socioeconomic status, floor of residence and structural housing problems, statistically significant associations were found between the prevalence of depression and living in housing areas characterised by properties with predominantly deck access (odds ratio=1.28, 95% Cl 1.03-1.58; P=0.02) and of recent (post-1969) construction (odds ratio=1.43, 95% Cl 1.06-1.91; P=0.02). Conclusions The prevalence of depression was associated with independently rated features of the built environment, independent of individuals' socio-economic status and internal characteristics of dwellings. Declaration of interest None. The study was funded by the Wellcome Trust.

AB - Background Little is known about the effects of the physical environment on individual health. Aims The present study tested the hypothesis that the prevalence of depression is associated with independently rated measures of the built environment, after adjusting for individuals' socio-economic status and the internal characteristics of their dwellings. Method Cross-sectional survey of 1887 individuals aged 16 years and over in two electoral wards in north London. Depression was ascertained using the Center for Epidemiologic Studies Depression scale (CES-D). The built environment was rated independently, using a validated measure. Results After adjusting for socioeconomic status, floor of residence and structural housing problems, statistically significant associations were found between the prevalence of depression and living in housing areas characterised by properties with predominantly deck access (odds ratio=1.28, 95% Cl 1.03-1.58; P=0.02) and of recent (post-1969) construction (odds ratio=1.43, 95% Cl 1.06-1.91; P=0.02). Conclusions The prevalence of depression was associated with independently rated features of the built environment, independent of individuals' socio-economic status and internal characteristics of dwellings. Declaration of interest None. The study was funded by the Wellcome Trust.

UR - http://www.scopus.com/inward/record.url?scp=0036257941&partnerID=8YFLogxK

U2 - 10.1192/bjp.180.5.428

DO - 10.1192/bjp.180.5.428

M3 - Article

SN - 1472-1465

VL - 180

SP - 428

EP - 433

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - MAY

ER -